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INFORMATION DISCLOSURE 
STATEMENT BY APPLICANT 

( Not for submission under 37 CFR 1 .99) 



Application Number 



First Named Inventor 



| D. GraybiiT 



Attorney Docket Number 3056.1US (96-803.1) 



Please see 37 CFR 1 .97 ai 



CERTIFICATION STATEMENT 

1 .98 to make the appropriate selection(s): 



That each item of information contained in the information disclosure statement was fir 
Q from a foreign patent office in a counterpart foreign application not more than three rr 
information disclosure statement. See 37 CFR 1.97(e)(1). 



OR 

That no item of information contained in the information disclosure statement was cited in a communication from a 
foreign patent office in a counterpart foreign application, and, to the knowledge of the person signing the certification 
after making reasonable inquiry, no item of information contained in the information disclosure statement was known to 
[x] any individual designated in 37 CFR 1 .56(c) more than three months prior to the filing of the inTormation disclosure 
statement. See 37 CFR 1 .97(e)(2). 



□ See attached certification statement. 

[X] Fee set forth in 37 CFR 1.17 (p) has been submitted herewith. 

□ None 

SIGNATURE 

A signature of the applicant or representative is required in accordance wi 
form of the signature. 



l CFR 1.33, 10.18. Please see CFR 1.4(d) for the 



Date (YYYY-MM-DD) 
Registration Number 



This collection of information is required by 37 CFR 1 .97 and 1 .98. The information is required to obtain or retain a benefit by the 
public which is to file (and by the USPTO to process) an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 
1.14. This collection is estimated to take 1 hour to complete, including gathering, preparing and submitting the completed 
application form to the USPTO. Time will vary depending upon the individual case. Any comments on the amount of time you 
require to complete this form and/or suggestions for reducing this burden, should be sent to the Chief Information Officer, U.S. 
Patent and Trademark Office, U.S. Department of Commerce, P.O. Box 1450, Alexandria, VA 2231 3-1450. DO NOT SEND 
FEES OR COMPLETED FORMS TO THIS ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, 
VA 22313-1450. 



Privacy Act Statement 



The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in connection with your submission of the 
attached form related to a patent application or patent. Accordingly, pursuant to the requirements of the Act, please be advised 
that: (1) the general authority for the collection of this information is 35 U.S.C. 2(b)(2); (2) furnishing of the information solicited 
is voluntary; and (3) the principal purpose for which the information is used by the U.S. Patent and Trademark Office is to 
process and/or examine your submission related to a patent application or patent. If you do not furnish the requested 
information, the U.S. Patent and Trademark Office may not be able to process and/or examine your submission, which may 
result in termination of proceedings or abandonment of the application or expiration of the patent. 

The information provided by you in this form will be subject to the following routine uses: 

1 . The information on this form will be treated confidentially to the extent allowed under the Freedom of Information Act 
(5 U.S.C. 552) and the Privacy Act (5 U.S.C. 552a). Records from this system of records may be disclosed to the 
Department of Justice to determine whether the Freedom of Information Act requires disclosure of these record s. 

2. A record from this system of records may be disclosed, as a routine use, in the course of presenting evidence to a 
court, magistrate, or administrative tribunal, including disclosures to opposing counsel in the course of settlement 
negotiations. 

3. A record in this system of records may be disclosed, as a routine use, to a Member of Congress submitting a 
request involving an individual, to whom the record pertains, when the individual has requested assistance from the 
Member with respect to the subject matter of the record. 

4. A record in this system of records may be disclosed, as a routine use, to a contractor of the Agency having need for 
the information in order to perform a contract. Recipients of information shall be required to comply with the 
requirements of the Privacy Act of 1974, as amended, pursuant to 5 U.S.C. 552a(m). 

5. A record related to an International Application filed under the Patent Cooperation Treaty in this system of records 
may be disclosed, as a routine use, to the International Bureau of the World Intellectual Property Organization, pursuant 
to the Patent Cooperation Treaty. 

6. A record in this system of records may be disclosed, as a routine use, to another federal agency for purposes of 
National Security review (35 U.S.C. 181) and for review pursuant to the Atomic Energy Act (42 U.S.C. 218(c)). 

7. A record from this system of records may be disclosed, as a routine use, to the Administrator, General Services, or 
his/her designee, during an inspection of records conducted by GSA as part of that agency's responsibility to 
recommend improvements in records management practices and programs, under authority of 44 U.S.C. 2904 and 
2906. Such disclosure shall be made in accordance with the GSA regulations governing inspection of records for this 
purpose, and any other relevant (i.e., GSA or Commerce) directive. Such disclosure shall not be used to make 
determinations about individuals. 

8. A record from this system of records may be disclosed, as a routine use, to the public after either publication of the 
application pursuant to 35 U.S.C. 122(b) or issuance of a patent pursuant to 35 U.S.C. 151 . Further, a record may be 
disclosed, subject to the limitations of 37 CFR 1 .14, as a routine use, to the public if the record was filed in an application 
which became abandoned or in which the proceedings were terminated and which application is referenced by either a 
published application, an application open to public inspections or an issued patent. 

9. A record from this system of records may be disclosed, as a routine use, to a Federal, State, or local law 
enforcement agency, if the USPTO becomes aware of a violation or potential violation of law or regulation.